Singh Gagandeep, Sharan Pratap, Kulhara Parmanand
Department of Psychiatry, Government Medical College and Hospital, Chandigarh, India.
Psychiatry Clin Neurosci. 2003 Oct;57(5):517-22. doi: 10.1046/j.1440-1819.2003.01157.x.
The purpose of the present study was to determine the role of coping strategies and attitudes in predicting distress due to hallucinations in schizophrenia. Seventy-five chronic stable schizophrenia patients were assessed with respect to sociodemographic profile, clinical variables, general psychopathology, phenomenology (severity) of hallucinations, attitude towards hallucinations, distress due to hallucinations (determined by two measures) and coping strategies used to deal with hallucinations. On multiple stepwise regression analysis, 'severity of hallucinations' and 'problem-solving coping strategies' contributed significantly to both measures of distress. It can be concluded that distress due to hallucinations in schizophrenia is determined by severity of hallucinations (stressor) and problem-solving coping strategies. Attitudes do not seem to play any role in this respect.
本研究的目的是确定应对策略和态度在预测精神分裂症幻觉所致痛苦方面的作用。对75例慢性稳定型精神分裂症患者进行了社会人口学特征、临床变量、一般精神病理学、幻觉现象学（严重程度）、对幻觉的态度、幻觉所致痛苦（通过两种测量方法确定）以及用于应对幻觉的应对策略等方面的评估。在多元逐步回归分析中，“幻觉严重程度”和“解决问题的应对策略”对两种痛苦测量方法均有显著贡献。可以得出结论，精神分裂症中幻觉所致痛苦由幻觉严重程度（应激源）和解决问题的应对策略决定。在这方面，态度似乎不起任何作用。
